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Bath Consent Form

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Client Name*

First

Last

Date*

Pet Name*

Primary Contact Phone Number*

Alternative Contact Phone Number

Bath Includes: Bath, Brush, Blow Dry, Nail trim and ear cleanse.

Is there anything else you need done for your pet today? (Anal Glands $20)

Preferred scent*

Cucumber Melon

Fresh

Blueberry Pie

Pineapple Coconut

None

Does your pet have any allergies or skin condition?

All pets admitted for bath services must be current on vaccinations. Written proof of vaccinations must be provided before any services can be provided to your pet(s). I consent that if vaccinations are overdue, they will be administered, and the cost will be added to the total bill.
All pets will be checked for parasites (fleas/ticks). If internal or external parasites are found by the veterinary staff while my pet is in for services, I consent to treatments as you determine, and the cost(s) of the treatment(s) will be added to my bill.
All precautions will be used to prevent injury/escape of my pet. Bensenville Animal Hospital and the team will not be held liable for any unforeseeable circumstances that may result in injury or death of my pet. If the need for emergency care arises, I give my
permission for such care to be administered by Bensenville Animal Hospital.
I hereby give Bensenville Animal Hospital permission to take and use photographs and videos of my pet for the purpose of sharing on social media platforms.

Client Signature

Date

Client Printed Name

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Phone

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